Amputations Flashcards
what are priority interventions for amputations?
Still always ABCs!
- apply direct pressure using gauze
- elevate above the heart
- wrap severed limb in sterile gauze, place in sealed bag, and submerge in ice water
- treat pain
- get IV access and give fluids
what is deniscence?
deniscence occurs when sutures have split apart and the wound is open again
what is a major post op complication other then infection?
flexion contracture
what is flexion contracture and when does it occur?
A flexion contracture is a bent (flexed) joint that cannot be straightened actively or passively and occurs due to improper positioning
how can the patient avoid flexion contracture?
lie prone for 20-30 minutes several times each day and do not lie on a pillow
how can the nurse provide care for post of amputations?
monitor for perfusion at the stump for the first 24-48 hours and position dependently to allow more blood flow
what type of pain can occur post surgery of an amputation?
phantom limb pain can occur where pain is in the limb that has been removed
What medications can be given to treat phantom limb pain?
beta blockers and anti-epileptics such as gabapentin and pregabalin for the short, stabbing pain